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非体外循环冠脉搭桥术的围术期麻醉管理

Perioperative Anesthesia Management of Off-pump Cornary Artery Bypass Grafting
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摘要 非体外循环冠脉搭桥术对治疗冠状动脉粥样硬化性心脏病是一个重大的进步,当前对麻醉师又是一个重大的挑战,许多方面包括仔细的准备、术中监测、温度的维持、药物的合理使用、保持血流动力学的稳定、心肌保护、提供最佳的手术条件、术后镇痛、早期拔管目标是围术期管理的重要部分。本文主要就这几方面进行综述。 Off-pump cornary artery bypass grafting has made progress in treating coronary artery disease patients. It demands more requirements for anesthesiologists. They are taken as an important part of perioperarive management. Such as good preparations, intraoperative monitor, Maintain temperature, drugs application, Maintain hemodynamic stability, myocardial protective, giving the best surgery conditiong, postoperative patient-controlled and early extubation, this rview focuses on these aspects.
作者 官英勇
出处 《医学综述》 2009年第14期2147-2150,共4页 Medical Recapitulate
关键词 非体外循环冠脉搭桥术 心肌保护 快通道 围术期 Off-pump coruary artery bypass Myocardial protective Fast-track Perioperative period
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参考文献23

  • 1Boonstra PW,Grandjean JG,Mariani MA.Improved method for direct coronary grafting without CPB via anterior small thoracotomy[J].Ann Thorac Surg,1997,63 (2):567-569.
  • 2Kolesov VI.Mammary artery-coronary artery anastomosis as method of treatment for angina pectoris[J].J Thorac Cardinvasc Surg,1967,54(4):535-544.
  • 3董明,吴朝光,谭威.体外循环与非体外循环冠脉搭桥术心肌损伤的比较[J].第四军医大学学报,2008,29(16):1533-1533. 被引量:5
  • 4Chojecki L,Hendzel P,Gryszko L,et al.Off-pump coronary artery bypass[J].Pol Merkur Lekaraki,2007,22(132):560-565.
  • 5Stamou SC,Corso PJ.Coronary revuscularization without cardiopulmonary bypass in high risk patents:a mute to the future[J].ArmThorac Surg,2001,71 (3):1056-1061.
  • 6凌滨,李立环,胡小琴.非体外循环冠状动脉搭桥手术的麻醉方法及血液动力学和氧代谢的变化[J].中华麻醉学杂志,2003,23(1):24-27. 被引量:17
  • 7Hughes P,Husenkam JM,Severinsen TK,et al.Bight heart assist for beating heart coronary artery bypass grafting[J].Eur J Cardiothorac Surg,2003,24(5):762-769.
  • 8Siegel LC,Hennessy M M,Pearl RG.Delayed time response of the continuous cardiac output pulmonary artery catheter for continuous oxygen saturation in mixed venous blood montitoring in cardiac surgery[J].Anesth Analg,1996,83(6):1173-1177.
  • 9HarloffA,Handke M,Reinhard M,et al.Therapeutic strategies after examination by transesophageal echocardiography in 503 patients with ischemic stroke[J].Stroke,2006,37 (3):859-864.
  • 10Nierich AP,Diephuis J,Jansen EWL,et al.Embracing the heart:perioperative mannngement of patient undergoing off-pump coronary artery bypass grafting using the Octopus tissue stabliliz[J].Cardiothorac Vase Anesth,1999,13 (2):123-129.

二级参考文献9

  • 1吴阶平,裘法祖.黄家驷外科学[M].6版.北京:人民卫生出版社,2005.1423-1426.
  • 2Natasha EK, Anthony DS, Rebecca M, et al. A randomized comparison of off-pump and on-pumpmultivessel coronary-attery bypass surgery[J]. N Engl J Med,2004,350( 1 ) :21 -28.
  • 3Hofman SN, Tenbrook JA, Wolf MP, et al. A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: One-to-eight-year outcomes[J]. J Am Coll Cardiol,2003,41 (8) :1293 - 1304.
  • 4Serm YS, Ong AT, Herwerden AIL, et al. Five year out-comes after eroronary stenting versus bypass surgery for the treatment of multivessel disease: the final analysis of the arterial revascularization therapies study (ARTS) randomizedIrial [ J ]. J Am Coll Cardiol, 2005,46 ( 6 ) : 575 -581.
  • 5Vazquez-Jimenez JF, Liakopoulos O J, Qing M, et al. Tumor necrosisfactor-alpha and troponin Ⅰ release in porcine cardiac lymph and coronary sinus blood before and after cardiopulmonary bypass [ J ]. Lymphology ,2002,35 ( 3 ) : 105 - 113.
  • 6Takeda S, Nakanishi K, Ikezaki H, et al. Cardiac maker responses to coronary artery bypass grafting surgery witII cardiopolmonary bypass and aortic cross-damping [ J ]. J Cardiothorac Vasc Anesth, 2002,16(4) :421 -425.
  • 7徐美英.快通道心脏麻醉的近展[J].国外医学(麻醉学与复苏分册),2000,21(6):335-337. 被引量:21
  • 8吴新民,叶铁虎,岳云,许幸,易杰,田芳玲.国产注射用盐酸瑞芬太尼有效性和安全性的评价[J].中华麻醉学杂志,2003,23(4):245-248. 被引量:499
  • 9张富军,徐美英,胡序凯,王茜.不同剂量芬太尼对心脏手术快通道管理的影响[J].临床麻醉学杂志,2003,19(7):429-429. 被引量:12

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